scholarly journals Totally Laparoscopic Whipple’s Operation: Initial Report from the Caribbean

Cureus ◽  
2020 ◽  
Author(s):  
Yardesh Singh ◽  
Shamir O Cawich ◽  
Sidiyq Mohammed ◽  
Thivy Kuruvilla ◽  
Vijay Naraynsingh
Keyword(s):  
Initial Report ◽  
Whipple’S Operation ◽  
The Caribbean ◽  
Totally Laparoscopic ◽  
Whipple's Operation

Spiral CT Features of Abdomen After Whipple's Operation

1997 ◽  
Vol 36 (4) ◽  
pp. 651
Author(s):  
T H Kim ◽  
K Y Lee ◽  
K H Shin ◽  
M H Jung ◽  
C M Park ◽  
...  
Keyword(s):  
Spiral Ct ◽  
Whipple’S Operation ◽  
Whipple's Operation ◽  
Ct Features

scholarly journals Impact of Pancreatic Resection on Survival in Locally Advanced Resectable Gastric Cancer

Cancers ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1289
Author(s):  
Shih-Chun Chang ◽  
Chi-Ming Tang ◽  
Puo-Hsien Le ◽  
Chia-Jung Kuo ◽  
Tsung-Hsing Chen ◽  
...  
Keyword(s):  
Lymph Node ◽  
Pancreatic Resection ◽  
Locally Advanced ◽  
Survival Rates ◽  
Disease Free Survival ◽  
Complication Rates ◽  
Lymph Node Yield ◽  
Whipple’S Operation ◽  
Whipple's Operation ◽  
The Impact

Whether gastric adenocarcinoma (GC) patients with adjacent organ invasion (T4b) benefit from aggressive surgery involving pancreatic resection (PR) remains unclear. This study aimed to clarify the impact of PR on survival in patients with locally advanced resectable GC. Between 1995 and 2017, patients with locally advanced GC undergoing radical-intent gastrectomy with and without PR were enrolled and stratified into four groups: group 1 (G1), pT4b without pancreatic resection (PR); group 2 (G2), pT4b with PR; group 3 (G3), positive duodenal margins without Whipple’s operation; and group 4 (G4), cT4b with Whipple’s operation. Demographics, clinicopathological features, and outcomes were compared between G1 and G2 and G3 and G4. G2 patients were more likely to have perineural invasion than G1 patients (80.6% vs. 50%, p < 0.001). G4 patients had higher lymph node yield (40.8 vs. 31.3, p = 0.002), lower nodal status (p = 0.029), lower lymph node ratios (0.20 vs. 0.48, p < 0.0001) and higher complication rates (45.2% vs. 26.3%, p = 0.047) than G3 patients. The 5-year disease-free survival (DFS) and overall survival (OS) rates were significantly longer in G1 than in G2 (28.1% vs. 9.3%, p = 0.003; 32% vs. 13%, p = 0.004, respectively). The 5-year survival rates did not differ between G4 and G3 (DFS: 14% vs. 14.4%, p = 0.384; OS: 12.6% vs. 16.4%, p = 0.321, respectively). In conclusion, patients with T4b lesion who underwent PR had poorer survival than those who underwent resection of other adjacent organs. Further Whipple’s operation did not improve survival in pT3–pT4 GC with positive duodenal margins.

scholarly journals Kompjuterizovana tomografija u postoperativnom pracenju bolesnika posle Whipple-ove operacijeprikaz karakteristicnih CT nalaza

2009 ◽  
Vol 56 (4) ◽  
pp. 107-111
Author(s):  
A. Djuric-Stefanovic ◽  
D. Masulovic ◽  
Dj. Saranovic ◽  
A. Ivanovic ◽  
R. Stevic ◽  
...  
Keyword(s):  
Pancreatic Head ◽  
Ampullary Carcinoma ◽  
Jejunal Loop ◽  
Recurrent Tumor ◽  
Head Cancer ◽  
Pancreatic Head Cancer ◽  
Ct Findings ◽  
Whipple’S Operation ◽  
Whipple's Operation

We presented the postoperative CT findings of patients after the Whipple's operation (cephalic pancreaticoduodenectomy), performed for the pancreatic head cancer, or ampullary carcinoma. Technique of the Whipple's operation is described, and normal and pathological postoperative CT findings, which are characteristic for the immediate (early) and delayed (late) follow-up period, are presented. In addition, difficulties in differentiation of afferent jejunal loop from the recurrent tumor by CT are discussed, and references from the literature about the possibilities of successful visualization of the afferent jejunal loop are cited. Possible locations and CT appearances of the tumor recurrences are presented. An overview of the literature is provided.

scholarly journals SEVERE COVID-19 IN PATIENT AT EARLY POSTOPERATIVE PERIOD AFTER WHIPPLE’S OPERATION WITH MARGINAL PORTAL VEIN RESECTION

2021 ◽  
pp. 79-83
Author(s):  
V. KOPCHAK ◽  
A MAZUR ◽  
L. PERERVA ◽  
О. KHOMENKO ◽  
L. MAKSYMENKO ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Portal Vein ◽  
Pancreatic Head ◽  
Early Postoperative Period ◽  
Distal Common Bile Duct ◽  
Early Activation ◽  
Surgery Patient ◽  
Whipple’S Operation ◽  
Whipple's Operation

Introduction. Pancreatoduodenectomy (PDR or Whipple’s operation) remains the only effective radical method of surgery for tumors of the pancreatic head, distal common bile duct and Vater’s papilla. The most frequent complications of the early postoperative period are: gastrostasis, pancreatic fistula, postoperative bleeding and pulmonary complications. According to World Health Organization (WHO) and reviews, severe COVID-19 usually occurs in older age patients, and in patients with oncological diseases. Case description. Patient V., 64 years old, due to a tumor of the head of the pancreas with invasion of the distal common bile duct and the development of obstructive jaundice, underwent PDR. Histopathologically, ductal adenocarcinoma of the pancreatic head, G-2, was confirmed. The PDR operation was performed within healthy tissues, which was confirmed by histopathology. On the second day after surgery, patient was admitted to ICU because of respiratory failure, the SARS-CoV-2 antigen test was positive, we suggest that the patient was in the latent period of COVID-19 disease during the surgery. Patient received hormone therapy, anticoagulants in therapeutic doses, O2-therapy. On the 5th day, because of severe ARDS, the patient was intubated, on the 7th day - convalescent plasma transfused (1 dose). On the 9th day, a tracheostomy was applied for airways care and early activation. Respiratory support was provided twelve days. Patient received early activation, exercises, as well as early enteral nutrition. After ICU discharge, patient’s condition was complicated by the gastro-intestinal bleeding, blood transfusion and embolization of the dorsal pancreatic artery were performed. On the day 66th after surgery patient was discharged home in satisfactory condition. Conclusion. General care and early activation of the patient within early tracheostomy, convalescent plasma usage and the well-coordinated work of the surgical and anesthesiological teams allows timely identification and elimination of early postoperative complications after Whipple’s operation with marginal resection of the portal vein.

Successful Whipple's operation for pancreatic injury

Injury ◽  
1985 ◽  
Vol 16 (4) ◽  
pp. 233-234 ◽  
Author(s):  
A.E.P. Cameron ◽  
R.D.C. Southcott ◽  
J. Blake ◽  
S. Lowe
Keyword(s):  
Pancreatic Injury ◽  
Whipple’S Operation ◽  
Whipple's Operation

Endoscopic-guided capsule endoscopy in a patient with small-bowel varices after Whipple's operation

2005 ◽  
Vol 62 (1) ◽  
pp. 166-169 ◽  
Author(s):  
Stephan Hellmig ◽  
Markus Seeger ◽  
Eckhard Stüber ◽  
Karlheinz Kiehne ◽  
Stefan Schreiber ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Whipple’S Operation ◽  
Whipple's Operation ◽  
Small Bowel Varices
Sign in / Sign up

Export Citation Format

Share Document